## Profile Comparison between http://hl7.org/fhir/us/directory-attestation/StructureDefinition/NatlDirAttest-InsurancePlan vs http://hl7.org/fhir/us/directory-attestation/StructureDefinition/NatlDirAttest-InsurancePlan

Left: | NatDir InsurancePlan (http://hl7.org/fhir/us/directory-attestation/StructureDefinition/NatlDirAttest-InsurancePlan)
Right: | NatDir InsurancePlan (http://hl7.org/fhir/us/directory-attestation/StructureDefinition/NatlDirAttest-InsurancePlan)

### Messages

Information | StructureDefinition.date | Values for date differ: '2022-08-08T18:05:19+00:00' vs '2022-12-08T23:25:31+00:00'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/us/directory-exchange/StructureDefinition/NatlDirEx-InsurancePlan |
copyright |  |
date | 2022-08-08T18:05:19+00:00 | 2022-12-08T23:25:31+00:00 | Values Differ
description | An InsurancePlan is a discrete package of health insurance coverage benefits that are offered under a particular network type. A given payer’s products typically differ by network type and/or covered benefits. A plan pairs a product’s covered benefits with the particular cost sharing structure offered to a consumer. A given product may comprise multiple plans (i.e. each plan offers different cost sharing requirements for the same set of covered benefits). |
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | NatlDirAttestInsurancePlan |
publisher | HL7 Patient Administration Working Group |
purpose |  |
status | active |
title | NatDir InsurancePlan |
type | InsurancePlan |
url | http://hl7.org/fhir/us/directory-attestation/StructureDefinition/NatlDirAttest-InsurancePlan |
version | 1.0.0-ballot |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
InsurancePlan | C | 0..* | NatlDirExInsurancePlan | Details of a Health Insurance product/plan provided by an organization | C | 0..* | NatlDirExInsurancePlan | Details of a Health Insurance product/plan provided by an organization |
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
versionId | Σ | 0..1 | id | Version specific identifier | Σ | 0..1 | id | Version specific identifier |
lastUpdated | Σ | 1..1 | instant | When the resource version last changed | Σ | 1..1 | instant | When the resource version last changed |
source | Σ | 0..1 | uri | Identifies where the resource comes from | Σ | 0..1 | uri | Identifies where the resource comes from |
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
|  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |  | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S Σ C | 0..* | Identifier | Business Identifier for Product | S Σ C | 0..* | Identifier | Business Identifier for Product |
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. Fixed Value: active | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. Fixed Value: active |
type | S Σ | 1..1 | CodeableConcept | Product Type Binding: InsuranceProductTypeVS (extensible) | S Σ | 1..1 | CodeableConcept | Product Type Binding: Insurance Product Type Value Set (extensible) |
name | S Σ C | 0..1 | string | Official name | S Σ C | 0..1 | string | Official name |
alias |  | 0..* | string | Alternate names |  | 0..* | string | Alternate names |
period |  | 0..1 | Period | When the product is available |  | 0..1 | Period | When the product is available |
ownedBy | S Σ | 1..1 | Reference(National Directory Endpoint Qry Exchange Organization) | Plan issuer | S Σ | 1..1 | Reference(National Directory Endpoint Qry Exchange Organization) | Plan issuer |
administeredBy | S Σ | 1..1 | Reference(National Directory Endpoint Qry Exchange Organization) | Product administrator | S Σ | 1..1 | Reference(National Directory Endpoint Qry Exchange Organization) | Product administrator |
coverageArea | S Σ | 0..* | Reference(National Directory Endpoint Qry Exchange Location) | Where product applies | S Σ | 0..* | Reference(National Directory Endpoint Qry Exchange Location) | Where product applies |
contact |  | 0..* | BackboneElement | Contact for the product |  | 0..* | BackboneElement | Contact for the product |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
purpose |  | 0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party. |  | 0..1 | CodeableConcept | The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party. |
name |  | 0..1 | HumanName | A name associated with the contact |  | 0..1 | HumanName | A name associated with the contact |
telecom |  | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact |  | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact |
address |  | 0..1 | Address | Visiting or postal addresses for the contact |  | 0..1 | Address | Visiting or postal addresses for the contact |
endpoint |  | 0..* | Reference(National Directory Endpoint Qry Exchange Endpoint) | Technical endpoint |  | 0..* | Reference(National Directory Endpoint Qry Exchange Endpoint) | Technical endpoint |
network | S | 0..* | Reference(National Directory Endpoint Qry Exchange Network) | What networks are Included | S | 0..* | Reference(National Directory Endpoint Qry Exchange Network) | What networks are Included |
coverage |  | 0..* | BackboneElement | Coverage details |  | 0..* | BackboneElement | Coverage details |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type |  | 1..1 | CodeableConcept | Type of coverage |  | 1..1 | CodeableConcept | Type of coverage |
network | S | 0..* | Reference(Organization) | What networks provide coverage | S | 0..* | Reference(Organization) | What networks provide coverage |
benefit |  | 1..* | BackboneElement | List of benefits |  | 1..* | BackboneElement | List of benefits |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type | S | 1..1 | CodeableConcept | Type of benefit | S | 1..1 | CodeableConcept | Type of benefit |
requirement |  | 0..1 | string | Referral requirements |  | 0..1 | string | Referral requirements |
limit |  | 0..* | BackboneElement | Benefit limits |  | 0..* | BackboneElement | Benefit limits |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
value |  | 0..1 | Quantity | Maximum value allowed |  | 0..1 | Quantity | Maximum value allowed |
code |  | 0..1 | CodeableConcept | Benefit limit details |  | 0..1 | CodeableConcept | Benefit limit details |
plan |  | 0..* | BackboneElement | Cost sharing details for the plan |  | 0..* | BackboneElement | Cost sharing details for the plan |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
identifier | Σ | 0..* | Identifier | Business Identifier for Product | Σ | 0..* | Identifier | Business Identifier for Product |
type |  | 0..1 | CodeableConcept | Categorization of the cost sharing for the plan Binding: InsurancePlanTypeVS (extensible) |  | 0..1 | CodeableConcept | Categorization of the cost sharing for the plan Binding: Insurance Plan Type Value Set (extensible) |
coverageArea | Σ | 0..* | Reference(National Directory Endpoint Qry Exchange Location) | Where product applies | Σ | 0..* | Reference(National Directory Endpoint Qry Exchange Location) | Where product applies |
network |  | 0..* | Reference(National Directory Endpoint Qry Exchange Network) | What networks provide coverage |  | 0..* | Reference(National Directory Endpoint Qry Exchange Network) | What networks provide coverage |
generalCost |  | 0..* | BackboneElement | Overall costs |  | 0..* | BackboneElement | Overall costs |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type |  | 0..1 | CodeableConcept | Type of cost |  | 0..1 | CodeableConcept | Type of cost |
groupSize |  | 0..1 | positiveInt | Number of enrollees |  | 0..1 | positiveInt | Number of enrollees |
cost |  | 0..1 | Money | Cost value |  | 0..1 | Money | Cost value |
comment |  | 0..1 | string | Additional cost information |  | 0..1 | string | Additional cost information |
specificCost |  | 0..* | BackboneElement | Specific costs |  | 0..* | BackboneElement | Specific costs |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
category |  | 1..1 | CodeableConcept | General category of benefit |  | 1..1 | CodeableConcept | General category of benefit |
benefit |  | 0..* | BackboneElement | Benefits list |  | 0..* | BackboneElement | Benefits list |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type |  | 1..1 | CodeableConcept | Type of specific benefit |  | 1..1 | CodeableConcept | Type of specific benefit |
cost |  | 0..* | BackboneElement | List of the costs |  | 0..* | BackboneElement | List of the costs |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type |  | 1..1 | CodeableConcept | Type of cost |  | 1..1 | CodeableConcept | Type of cost |
applicability |  | 0..1 | CodeableConcept | in-network | out-of-network | other Binding: BenefitCostApplicability (required): Whether the cost applies to in-network or out-of-network providers. |  | 0..1 | CodeableConcept | in-network | out-of-network | other Binding: BenefitCostApplicability (required): Whether the cost applies to in-network or out-of-network providers. |
qualifiers |  | 0..* | CodeableConcept | Additional information about the cost |  | 0..* | CodeableConcept | Additional information about the cost |
value |  | 0..1 | Quantity | The actual cost value |  | 0..1 | Quantity | The actual cost value |
Documentation for this format